Jordan Broadwater, DDS
Dentist · Kingsport, TN
Jordan Broadwater, DDS is a dentist with a practice address in Kingsport, Tennessee, and NPI 1164317020, issued on Jun 11, 2025. Check the license (Tennessee 12846, as entered in NPPES) with the Tennessee board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jordan Broadwater
- Credential
- DDS
- Primary taxonomy
- Dentist 122300000X
- License number
- 12846 TN
Self-reported in NPPES; status is on the state search - Practice location
- 2701 Bloomingdale RD, Kingsport, TN 37660
- Phone
- (423) 288-8566
- Enumerated
- Jun 11, 2025
- Record last updated
- Jun 11, 2025
- Entity
- Type 1 · individual
Also registered at 2701 Bloomingdale RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- John Tanner, DDSGeneral Practice Dentistry1669504049
Verify Jordan Broadwater in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
Search for license 12846Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
26 dentist records list a practice address in Kingsport
They are 26 of the 1,986 NPPES records with a practice address in Kingsport, and 1,525 dentist records in Tennessee. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 26 in Kingsport → All 1,525 in Tennessee → Every provider in Kingsport →
Other dentist records in Tennessee
- Diane Abbey, DDSMemphis, TN1104154145
- Larry Abbott, D.D.S.Etowah, TN1649335670
- Dalal Abdulkarim, DDSCordova, TN1932082815
- Moulton Abernathy, D.D.S.Parsons, TN1710008032
- Loay Abuzahra, DMDMurfreesboro, TN1851217335
- Jennifer Adair, D.M.D.Memphis, TN1295039857
- John Adams, DMDSpring Hill, TN1548830987
- Erica Adderly, D.D.SGoodlettsville, TN1992135131
- Jacinda AddingtonBristol, TN1578496006
- Benjamin Addison, DDSArlington, TN1548831928
Common questions
What is Jordan Broadwater, DDS's NPI number?
Jordan Broadwater, DDS's National Provider Identifier (NPI) is 1164317020, issued on Jun 11, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Jordan Broadwater, DDS located?
The NPPES record lists a practice address at 2701 Bloomingdale RD, Kingsport, TN, 37660. Phone: (423) 288-8566. Providers update this record themselves, so call before visiting.
How can I verify Jordan Broadwater, DDS's license?
NPPES lists Tennessee license number 12846, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.